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Application for a

Visitor visa Tourist stream

About this form


Important Please read this information carefully before you
complete your application. Once you have completed your
application we strongly advise that you keep a copy for your
records.
All relevant questions on this form should be answered and
any requested information attached. The Department of
Immigration and Citizenship (the department) may decide
your application on the basis of the information provided on
your application.
All forms are available from the departments website
www.immi.gov.au/allforms/

Who should use this form?


Use this form to apply for a Visitor visa Tourist stream to
visit or remain in Australia for tourism or other recreational
activities (holiday, sightseeing, social or recreational reasons or
to visit relatives or friends).
If you intend to:
visit Australia to visit family members, and you have a family
member who is eligible and willing to sponsor you, you may
use form 1418 Application for a Visitor visa Sponsored
Family stream;
visit Australia for medical treatment you should use form
48ME Application for a Medical Treatment visa;
visit Australia for a short business trip, you should use
form 1415 Application for a Visitor visa Business Visitor
stream;
study in Australia for more than 3 months you should apply
for a student visa. Please contact the nearest Australian
Visa Office or office of the department for information on
student visa applications, including the correct application
form.

Form

1419

A visa may be granted for a single entry or multiple entries


within a specified period. Generally, this visa allows people to
enter Australia within 12 months from the date of grant.

Conditions for a Visitor visa to Australia


Visitors to Australia must be willing and able to abide by the
conditions listed below while in Australia. If you are unwilling
or unable to abide by these conditions you should not apply
for a visa. If you do not abide by these conditions, your visa
may be cancelled or you may be subject to other penalties. If
you have any questions or concerns about the conditions, you
should ask for more information from an Australian Visa Office
or office of the department in Australia.
If you are granted a visa, carefully check the details and
conditions on the letter advising you of the grant of your visa.
If you have any concerns or questions about the requirements
or limitations, you should contact the office that granted that
visa. You should not assume that any changes to your
immigration status can be made while in Australia.

Visa conditions
The following conditions will be applied to your visa:
Visa condition 8101
You must NOT work in Australia.

Visa condition 8201


You must NOT study for more than 3 months while in
Australia

The following conditions may be applied to your visa:


Visa condition 8503
No further stay.

Each applicant, including dependent children, must apply on


their own form. You must complete all questions in all
sections. Failure to answer any question completely and
accurately may result in the application being refused, or the
visa may be cancelled at a later date.

Following an assessment of your application, a visa officer may


decide to apply the 8503 condition on your visa. The 8503 (or
No Further Stay) condition means that the holder of the visa
on which the condition has been imposed will not, after
entering Australia, be entitled to be granted any other visa,
while the holder remains in Australia.

Integrity of application

The effect of this visa condition is that it will not be possible


for you to apply to remain in Australia beyond the authorised
period of stay of your visa. It is particularly important, if your
visit to Australia is to attend a specific event, that you organise
your travel so that you can attend these events within your
authorised period of stay as you will not be able to extend
your period of stay in Australia.

The department is committed to maintaining the integrity of


the visa and citizenship programs. Please be aware that if you,
or anyone assisting you with this form, provide us with
fraudulent documents or claims, this may result in processing
delays and possibly your application being refused.
If information or documents are found to be fraudulent or
misleading after the grant of a visa, it may subsequently be
cancelled.

If the 8503 condition is imposed on your visa, it will be


indicated on the letter advising you of the grant of your visa,
with the words 8503 NO FURTHER STAY.

Visa validity

Visa condition 8531

This visa generally allows stays of 3 or 6 months in Australia,


although a stay of up to 12 months can be granted. However,
the visa period is determined on a case by case basis and may
be less than the period you requested. A stay beyond 12 months
is ONLY granted where exceptional circumstances exist.

You must NOT stay in Australia after your visa expires.

Visa condition 8558


You must NOT spend more than 12 months in Australia in an
18 month period.

COMMONWEALTH OF AUSTRALIA, 2013

1419 (Design date 07/13) - Page 1

Visa Application Charge

Supporting documents and additional information

Refer to Part L Payment details of this form to calculate the


correct charge and make payment.

Part M Application checklist on page 16 contains


information about supporting documentation. If you are
lodging your application overseas, you should also check the
website of your nearest Australian Visa Office
www.immi.gov.au/contacts/overseas/

Refer to www.immi.gov.au/fees-charges for a complete and


current list of applicable fees and charges.
Fees and charges may be subject to change at any time and
this may increase the cost of a visa application.
Generally, Visa Application Charges are reviewed on 1 July
each year, and the exchange rates used to calculate the
amount payable in a foreign country are updated on 1 January
and 1 July each year.
If you do not pay the full Visa Application Charge amount,
your visa application will not be valid.
Charges are generally not refundable, even if the application is
withdrawn or refused.

Methods of payment
Payment or evidence of payment must accompany your
application.
Please check the Ways to apply information to find out how
and where you need to lodge the application before you
choose your payment method.
Note: Personal and travellers cheques are not accepted.

In Australia
To make a payment, please pay by credit card, debit card, bank
cheque or money order made payable to the Department of
Immigration and Citizenship. Debit card and credit card are
the preferred methods of payment.

Outside Australia
Before making a payment outside Australia, please check with
the Australian Visa Office where you intend to lodge your
application as to what methods of payment and currencies
they can accept and to whom the payment should be made
payable.
Information on where to lodge an application outside
Australia is also available from the departments website
www.immi.gov.au/contacts/overseas/

Sponsorship by an eligible relative


You may be asked by the department to support your
application with an eligible sponsor and payment of a bond as
part of the assessment process.

Extending your stay in Australia


If you are applying for a new visa or extension while in
Australia you must apply for a new visa before your current
visa expires. The best time to apply for a new Visitor visa is
about 2 weeks before the expiry of your current visa. Please
bear in mind that the grant of a new visa will cease any visa
currently held and the entitlements attached to that visa. If, for
example, you currently have work rights or formal study
entitlements, those entitlements will cease when a Visitor visa
is granted.

Health requirements
All applicants must meet Australias health requirements. You
may be required to undergo a chest x-ray and medical
examination in order to meet the criteria for the grant of a
subclass 600 visa.
Please follow any directions given by the visa processing
officer as to medical or x-ray examinations that may be
required.
Refer to form 1163i Health requirement for temporary entry
to Australia for further details.

Health insurance requirements


Medical treatment in Australia can be very expensive. It is
recommended that you take out health insurance for your
period of stay in Australia. You will not be covered by
Australias national health scheme, unless you are covered by a
reciprocal health care agreement.

If you are seeking a long stay Visitor visa Tourist stream or are
75 years of age or over

Ways to apply
You, or your representative, can submit your application, Visa
Application Charge and supporting documents in one of the
following 3 ways:
Electronically over the internet if you are eligible. To check
your eligibility please visit the departments website
www.immi.gov.au/visas/visitor-visa/600

You may be asked to provide evidence with your application


that you have health insurance to cover your stay in Australia.
More information about health insurance is available from the
departments website www.immi.gov.au/visitors/

Vaccinations

In person or by mail at the nearest Australian Visa Office or


office of the department. If you are lodging in person you
may require an appointment. To check if an appointment is
required please visit the departments website
www.immi.gov.au/contacts/offices.htm or

If it is your intention to enrol your children in an Australian


school or childcare centre (crche or preschool) during your
visit to Australia, you are strongly encouraged to carry
certification of your childs vaccination status. Certification
may be sought at time of enrolment.

Through a Service Delivery Partner (SDP). SDPs provide


visa application services on behalf of the department in
some countries. For more detailed information, and to
check if an SDP is available in your country, please visit the
Contact Us web page on the departments website
www.immi.gov.au/contacts/overseas/

Vaccination is recommended against polio, tetanus, measles,


mumps, rubella, diphtheria, pertussis (whooping cough),
Haemophilus influenza hypo (Hib) and Hepatitis B.
Note: Vaccination against rubella is also recommended for
women of child bearing age.

You may arrange for another person to help you complete this
application form, but you must sign it. If you have been assisted
in completing the application form, you should only sign the
declaration(s) if the information in it is true and correct.

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COMMONWEALTH OF AUSTRALIA, 2013

Passport information

Migration agents in Australia

Most visa applicants will be required to hold a valid passport


before they can be granted a visa. It is strongly recommended
that the passport be valid for at least 6 months.

Migration agents in Australia must be registered with the


Office of the Migration Agents Registration Authority (Office of
the MARA) unless they are exempt from registration.

If you change your passport after you have been granted the
visa you must notify the nearest Australian Visa Office or office
of the department.

Migration agents outside Australia

If you do not provide us with the details of any new or


additional passport you use to travel to Australia, you
may experience significant delays at the airport and
may be denied permission to board your plane.

Migration agents who operate outside Australia do not have to


be registered. The department may give some overseas agents
an ID number. This number does not mean that they are
registered.
Note: Some Australian registered migration agents operate
overseas.

Residential address

Migration agent information

You must provide the address of where you intend to live


during the period that your application is being considered.
Failure to give your residential address will result in this
application being invalid. A post office box address will not be
accepted as your residential address.

A migration agent is someone who can:


advise you on the visa that may best suit you;
tell you the documents you need to submit with your
application;
help you fill in the application and submit it; and

Change of address

communicate with the department on your behalf.

If you change your residential address for more than 14 days


while your application is being processed, you must tell the
department your new address and how long you will be there.
The department will send communication about your
application to the latest address for correspondence you have
provided.

If you appoint a migration agent, the department will assume


that your migration agent will be your authorised recipient,
unless you indicate otherwise.

Modified Non-Return Rate data

You are not required to use a migration agent. However, if you


use a migration agent, the department encourages you to use
a registered migration agent. Registered agents are bound by
the Migration Agents Code of Conduct, which requires them
to act professionally in their clients lawful best interests.

The Modified Non-Return Rate (MNRR) is a calculation of the


people who arrive on a Visitor visa, but do not depart before
their visa expires, other than those who are granted Skilled,
Visitor or Student visas in Australia.
The MNRR is used as an indicator of Visitor visa compliance,
and may be considered by decision makers to determine the
level of scrutiny to apply to the application.
If you are from a country with a high MNRR it is in your
interests to provide additional documentation as indicated on
page 16, supporting your application.

Your migration agent will be the person with whom the


department will discuss your application and from whom it
will seek further information when required.

Information on migration agents, including a list of registered


migration agents, is available on the Office of the MARA
website www.mara.gov.au
You can also access information about migration agents on the
departments website www.immi.gov.au

Exempt persons

MNRR data can be found at


www.immi.gov.au/media/statistics/visitor.htm

The following people do not have to be a registered migration


agent in order to provide immigration assistance, but they
must not charge a fee for their service:

Immigration assistance

a close family member (spouse, de facto partner, child,


parent, brother or sister);

A person gives immigration assistance to you if he or she uses,


or claims to use, his or her knowledge or experience in
migration procedure to assist you with your visa application,
request for ministerial intervention, cancellation review
application, sponsorship or nomination.
In Australia a person may only lawfully give immigration
assistance if he or she is a registered migration agent or is
exempt from being registered. Only registered migration
agents may receive a fee or reward for providing immigration
assistance.
If an unregistered person in Australia, who is not exempt from
registration, gives you immigration assistance they are
committing a criminal offence and may be prosecuted.
Sponsors of applicants for Visitor visas Sponsored
Family stream are exempt from the requirements to be
registered as a migration agent in order to assist
application in relation to Visitor visas Sponsored
Family stream.

a member of parliament or their staff;


an official whose duties include providing immigration
assistance (eg. a Legal Aid provider);
a member of a diplomatic mission, consular post or
international organisation.

Appointing a migration agent/exempt person


To appoint a migration agent/exempt person you should
complete Part K Options for receiving written
communications.
Your migration agent/exempt person should complete
form956 Advice by a migration agent/exempt person of
providing immigration assistance.
Form 956 is available from the departments website
www.immi.gov.au/allforms/

COMMONWEALTH OF AUSTRALIA, 2013

1419 (Design date 07/13) - Page 3

Options for receiving written communications

About the information you give

If you do not appoint a migration agent/exempt person you


may still authorise another person, in writing, to receive
written communications on your behalf. This person is called
the authorised recipient.

The department is authorised to collect information provided


on this form under Part 2 of the Migration Act 1958 Control
of Arrival and Presence of Non-Citizens. The information
provided will be used for assessing your application, and for
other purposes relating to the administration of the Migration
Act.

Authorised recipient information


All written communication about your application will be sent to
your authorised recipient, unless you indicate that you wish to
have health and/or character information sent directly to you.
The department will communicate with the most recently
appointed authorised recipient as you may only appoint one
authorised recipient at any time for a particular application.
You will be taken to have received any documents sent to that
person as if they had been sent to you.
To appoint an authorised recipient you should complete:
Part K Options for receiving written communications; and
form 956A Appointment or withdrawal of an authorised
recipient.
Note: Migration agents/exempt persons do not need to
complete form 956A.
Form 956A is available from the departments website
www.immi.gov.au/allforms/

Consent to communicate electronically


The department may use a range of means to communicate
with you. However, electronic means such as fax or e-mail will
only be used if you indicate your agreement to receiving
communication in this way.
To process your application the department may need to
communicate with you about sensitive information, for
example, health, police checks, financial viability and personal
relationships. Electronic communications, unless adequately
encrypted, are not secure and may be viewed by others or
interfered with.
If you agree to the department communicating with you by
electronic means, the details you provide will only be used by
the department for the purpose for which you have provided
them, unless there is a legal obligation or necessity to use
them for another purpose, or you have consented to use for
another purpose. They will not be added to any mailing list.
The Australian Government accepts no responsibility for the
security or integrity of any information sent to the department
over the internet or by other electronic means.
If you authorise another person to receive documents on your
behalf and they wish to be contacted electronically, their
signature is required on form 956 or 956A to indicate their
consent to this form of communication.
Note: Electronic communication is the fastest means of
communication available and the department prefers to
communicate electronically because this results in faster
processing.

To ensure the integrity of temporary residence visas, the


department has a thorough monitoring process to assist in
ensuring compliance with all program requirements and all
relevant Australian laws.
The department will disclose your information to other
Commonwealth, state and territory government departments
and agencies for the purpose of administering migration
legislation, and when it may assist another agency to perform
a regulatory function. The departments and agencies include
the Fair Work Ombudsman, Department of Education,
Employment and Workplace Relations, Department of Foreign
Affairs and Trade, Australian Taxation Office and
Commonwealth, state and territory departments and agencies
responsible for the regulation of education, health, workplace
safety, workplace training, public safety, industrial relations,
law enforcement, taxation, superannuation, fair trading, trade
practices or registration, licencing in relation to an occupation
and review of decisions and regulation of migration agents.
The information provided on this form, including any
information on your health, will be used to assess your health
for an Australian visa and may be disclosed to the relevant
Commonwealth, state and territory health agencies,
registration authorities and examining doctor(s).
Form 1163i Health requirement for temporary entry to
Australia provides additional information on Australias visa
health requirements. Form 1163i is available at offices of the
department or from the departments website
www.immi.gov.au/allforms/
The collection, access, storage, use and disclosure by the
department of the information you provide in this form is
governed by the Privacy Act 1988 and, in particular, by the 11
Information Privacy Principles. The information form 993i
Safeguarding your personal information, available from the
offices of the department, gives details of agencies to which
your personal information might be disclosed.
The department is authorised under the Migration Act 1958,
in certain circumstances, to collect a range of personal
identifiers including a facial image, fingerprints and a
signature, from non-citizens, including from visa applicants.
The department requires personal identifiers to assist in
assessing your identity.
The department is authorised to disclose your personal
identifiers and information relating to your name and other
relevant biographical data to a number of agencies including
law enforcement and health agencies and, other agencies who
may need to check your identity with this department. Where
the department obtains personal identifiers they will become
part of your official record with the department.
The department is involved in international information
exchanges with a number of countries, including the United
Kingdom, the United States of America, Canada and New
Zealand.

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COMMONWEALTH OF AUSTRALIA, 2013

These international information exchanges may involve the


sharing of personal identifiers, including facial images and
fingerprint data, collected by immigration agencies such as
this department. If, as a result of this sharing between
countries, there is a match with your personal identifiers, the
department will disclose your biographical data, copies of
travel and other identity documents or information from such
documents, your immigration status and immigration history
(which may include any immigration abuse and offences) and
any criminal history information relevant to immigration
purposes. The purpose of such disclosure would be to help
confirm your identity and determine if you have presented to
the department and the other agency under the same identity
and with similar claims.

Home page
General
enquiry line

www.immi.gov.au
Telephone 131 881 during business hours
in Australia to speak to an operator (recorded
information available outside these hours).
Ifyou are outside Australia, please contact
your nearest Australian mission.

For more detailed information you should read form 1243i


Your personal identifying information, which is available
from the departments website www.immi.gov.au/allforms/
or from any office of the department.
As sponsorship is required for your visa subclass, the outcome
of your application may be made known to the person/
organisation who has submitted a sponsorship form regarding
your application.

Please keep these information pages for your reference


COMMONWEALTH OF AUSTRALIA, 2013

1419 (Design date 07/13) - Page 5

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Form

Application for a
Visitor visa Tourist stream

1419

Please use a pen, and write neatly in English using BLOCK LETTERS.
Tick where applicable

PHOTOGRAPH

Please attach a
recent passport
size photograph
of yourself.

Indicate if you are applying outside Australia or in Australia:


Outside Australia

Go to Question 2

In Australia

Go to Question 5

Part A Your details

Applicants outside Australia

DAY

Date

When do you wish to visit Australia?


MONTH

YEAR

from

DAY

MONTH

Give the following details exactly as they appear in your passport


Make sure your passport is valid for the period of stay you are applying for.

YEAR

to

Family name
Given names

How long do you wish to stay in Australia?


Up to 3 months
Up to 6 months

Sex

Male

Up to 12 months

Note: The stay period granted may be less than the period requested.
You should check the terms of any visa granted.

Date of birth

Do you intend to enter Australia on more than one occasion?

Country of passport

No

Go to Question 7

Yes

Give details

Nationality of
passport holder

Female

DAY

MONTH

YEAR

DAY

MONTH

YEAR

Passport number

Date of issue
Date of expiry
Place of issue/
issuing authority
Go to Question 7

8
Applicants in Australia
DAY

MONTH

Specify the date you wish


to extend your stay to

Provide detailed reasons for requesting this further stay

Place of birth
Town/city

YEAR

State/province
Country

Relationship status

COMMONWEALTH OF AUSTRALIA, 2013

Married

Separated

Engaged

Divorced

De facto

Widowed

Never married or
been in a de facto
relationship

1419 (Design date 07/13) - Page 7

10 Are you or have you been known by any other name?

18 What is your legal status in your current location?

(including name at birth, previous married names, aliases)

Citizen

No
Yes

Permanent resident
Give details

Visitor
Student
Work visa
No legal status

11 Do you currently hold an Australian visa?

Other

Give details

No
Yes

Note: If this visa application is approved, your current visa


may cease.

your visa status?

12 Have you applied for a Parent (subclass 103) visa?


No
Yes

DAY

19 What is the purpose of your stay in your current location and what is

MONTH

YEAR

Please provide your queue date

13 Do you currently hold, or have you applied for, an APEC Business Travel
Card (ABTC)?

20 Your current residential address

No
Yes

Note: If this visa application is approved, the Australian visa


associated with your ABTC will cease.

Note: A street address is required as a post office box address cannot


be accepted.

14 Are you a citizen of any other country?


No
Yes

POSTCODE

List countries
Country

21 Address for correspondence


(If the same as your residential address, write AS ABOVE)

15 Do you have other current passports?


No
Yes

Give details

Passport number

POSTCODE

Country of passport

Country

16 Do you hold an identity card or identity number issued to you by your

22 Contact telephone numbers

government (eg. National identity card) (if applicable)?

COUNTRY CODE

AREA CODE

NUMBER

Note: If you are the holder of multiple identity numbers because you
are a citizen of more than one country, you need to enter the identity
number on the card from the country that you live in.

Home

) (

Office

) (

No

Mobile/cell

Yes

Give details

Family name
Given names

Type of document

23 Do you agree to the department communicating with you by e-mail


and/or fax?
This may include receiving notification of the outcome of this application.
Note: We can communicate about this application more quickly using
e-mail and/or fax.
No

Identity number

Yes

Country of issue

E-mail address

17 In what country are you currently located?

1419 (Design date 07/13) - Page 8

Give details

COUNTRY CODE

Fax number

COMMONWEALTH OF AUSTRALIA, 2013

AREA CODE
) (

NUMBER
)

Part B Family travelling to Australia with you


24 Are you travelling to, or are you currently in, Australia with any family members?
No
Yes

Give details of each family member


Make sure all the applications are lodged at the same time.
Full name

Relationship to you

Name of sponsor (if applicable)

If insufficient space, give details at Part O

Part C Family NOT travelling to Australia with you


25 Do you have a partner, any children, or fianc who will NOT be travelling, or has NOT travelled, to Australia with you?
No
Yes

Give details
Date of birth

Full name

DAY

MONTH

YEAR

Relationship to you

Their address while you are in Australia

If insufficient space, give details at Part O

Part D Details of your visit to Australia


26 Is it likely you will be travelling from Australia to any other country (eg. New Zealand, Singapore, Papua New Guinea) and back to Australia?
No
Yes

Attach itinerary details

27 Do you have any relatives in Australia?


No
Yes

Give details
Full name

Date of birth
DAY

MONTH

YEAR

Relationship
to you

Address

Citizen or permanent
resident of Australia

No

Yes

No

Yes

No

Yes

No

Yes

If insufficient space, give details at Part O


COMMONWEALTH OF AUSTRALIA, 2013

1419 (Design date 07/13) - Page 9

28 Do you have any friends or contacts in Australia?


No
Yes

Give details
Full name

Date of birth
DAY

MONTH

YEAR

Relationship
to you

No

Yes

No

Yes

No

Yes

No

Yes

29 Why do you want to visit Australia?


Include details of any dates that are of special significance to your visit.

If insufficient space, give details at Part O

30 Do you intend to do a course of study while in Australia?


No
Give details

Name of the
course
Name of the
institution
How long will the course last?

1419 (Design date 07/13) - Page 10

Citizen or permanent
resident of Australia

If insufficient space, give details at Part O

Yes

Address

COMMONWEALTH OF AUSTRALIA, 2013

Part E Health details

35 During your proposed visit to Australia, do you expect to incur medical

31 In the last 5 years, have you visited or lived outside your country of
passport for more than 3 consecutive months?
Do not include time spent in Australia.
No
Yes

Give details

1. Country(s)
DAY

Date

MONTH

YEAR

from

DAY

MONTH

YEAR

to

2. Country(s)

costs, or require treatment or medical follow up for:


blood disorder;
cancer;
heart disease;
hepatitis B or C and/or liver disease;
HIV Infection, including AIDS;
kidney disease, including dialysis;
mental illness;
pregnancy;
respiratory disease that has required
hospital admission or oxygen therapy;
other?
No
Yes

DAY

Date

MONTH

YEAR

from

DAY

MONTH

YEAR

DAY

MONTH

YEAR

Give details

to

3. Country(s)
DAY

Date

MONTH

YEAR

from

to

36 Do you require assistance with mobility or care due to a medical


condition?

If insufficient space, give details at Part O

No

32 Do you intend to enter a hospital or health care facility (including

Yes

Give details

nursing homes) while in Australia?


No
Yes

Give details

37 Have you undertaken a health examination for an Australian visa in


the last 12 months?
No

33 Do you intend to work as, or study to be, a doctor, dentist, nurse or

Yes

Give details (including HAP ID if available)

paramedic during your stay in Australia?


No
Yes

Give details

34 Have you:
ever had, or currently have, tuberculosis?
been in close contact with a family member that has active
tuberculosis?
ever had a chest x-ray which showed an abnormality?

Note: If you are applying for a long stay Visitor visa or are 75 years
or over, you will be asked to undergo a health assessment and may
be asked to show that you have medical insurance to cover your
intended stay in Australia. Please contact your nearest office of the
department for further advice before lodging your application. If
additional medical consultations are required, a decision on your visa
application will be delayed.

No
Yes

Give details

COMMONWEALTH OF AUSTRALIA, 2013

1419 (Design date 07/13) - Page 11

Part G Employment status

Part F Character details

39 What is your employment status?

38 Have you ever:


been convicted of a crime or offence in any
country (including any conviction which is
now removed from official records)?

No

Yes

been charged with any offence that is


currently awaiting legal action?

No

Yes

been acquitted of any criminal offence or


other offence on the grounds of mental
illness, insanity or unsoundness of mind?

No

Yes

been removed or deported from any


country (including Australia)?

No

Yes

Employed/
self-employed

No

Yes

been excluded from or asked to leave any


country (including Australia)?

No

Yes

AREA CODE
) (

NUMBER
)

Position you hold

No

How long have you


been employed by this
employer/business?

Yes

No

Yes

had any outstanding debts to the Australian


Government or any public authority in
Australia?

No

Yes

served in a military force or state


sponsored/private militia, undergone any
military/paramilitary training, or been
trained in weapons/explosives use
(however described)?

Telephone number
COUNTRY CODE

been involved in any activities that would


represent a risk to Australian national
security?

been involved in any activity, or been


convicted of any offence, relating to the
illegal movement of people to any country
(including Australia)?

Address

POSTCODE

left any country to avoid being removed or


deported?

committed, or been involved in the


commission of, war crimes or crimes
against humanity or human rights?

Give details
Employer/business name

Retired

Year of retirement

Student

Give details
Your current course

Name of educational institution


No

Yes
How long have you been
studying at this institution?
Other

No

Give details

Yes

If you answered Yes to any of the above questions, give ALL relevant
details below.

Unemployed

If insufficient space, give details at Part O

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COMMONWEALTH OF AUSTRALIA, 2013

Explain why you are unemployed and give details


of your last employment (if applicable)

Part H Funding for stay


All visitors to Australia must be able to demonstrate they have adequate
funds to cover all costs associated with their visit. Providing evidence of
funds will help expedite the processing of a visitor visa application.
Examples may include personal bank statements showing a financial
history, pay slips, audited accounts, taxation records or details of funds
that visitors will be taking with them or funds that are available to them.
Relevant factors may also include the number of persons your are
supporting, the type of activities planned and the length of stay sought.

40 Give details of how you will maintain yourself financially while you are
in Australia

41 Is your sponsor or someone else providing support for your visit to Australia?
Note: This includes support from an organisation.
No
Yes

Give details
Full name

Date of birth
DAY

MONTH

YEAR

Relationship
to you

Their address while you are in Australia

Type of support provided


Financial Accommodation Other

If insufficient space, give details at Part O


Attach details. The person or people you have listed will need to provide evidence of their ability to provide this support.

COMMONWEALTH OF AUSTRALIA, 2013

1419 (Design date 07/13) - Page 13

Part I Previous applications

Part K Options for receiving written


communications

42 Have you ever:


been in Australia and not complied with
visa conditions or departed Australia
outside your authorised period of stay?

No

Yes

had an application for entry to or further


stay in Australia refused, or had a visa for
Australia cancelled?

No

Yes

47 All written communications about this application should be sent to:


(Tick one box only)
Myself
OR
Authorised
recipient

If you answered Yes to any of the above questions, give details

You should complete form 956A Appointment


or withdrawal of an authorised recipient

OR
Migration agent
OR
Exempt person

Part J Assistance with this form


43 Did you receive assistance in completing this form?
No

Go to Part K

Yes

Please give details of the person who assisted you

Title:

Mr

Mrs

Miss

Ms

Other

Family name
Given names
Address

POSTCODE

Telephone number or daytime contact


COUNTRY CODE

Office hours

AREA CODE
) (

NUMBER
)

Mobile/cell

44 Is the person an agent registered with the Office of the Migration


Agents Registration Authority (Office of the MARA)?
No
Yes

Go to Part K

45 Is the person/agent in Australia?


No

Go to Part K

Yes

46 Did you pay the person/agent and/or give a gift for this assistance?
No
Yes
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COMMONWEALTH OF AUSTRALIA, 2013

Your migration agent/exempt person should


complete form 956 Advice by a migration
agent/exempt person of providing
immigration assistance

Part L Payment details


48 IMPORTANT: You must refer to the departments website at www.immi.gov.au/fees-charges to complete this part of your application.
The website shows reference tables with the Visa Application Charges applicable to each visa subclass.
Visa subclass you are applying for
Base Application Charge
(1)

AUD

Write the amount shown on the reference table for your visa subclass

+
Non-internet Application Charge (if applicable)
Additional Applicant Charge aged 18 years or over at the time your application is lodged
Write the amount shown on the
reference table for your visa subclass

Number of additional applicants


aged 18 years or over
X (multiplied by)

AUD

Write the amount shown on the


reference table for your visa subclass

Number of additional applicants


under 18 years of age
X (multiplied by)

(4)

AUD

Subsequent Temporary Application Charge (if applicable)


Write the amount shown on the
reference table for your visa subclass

(3)

AUD

Additional Applicant Charge under 18 years of age at the time your application is lodged

AUD

(2)

AUD

+
Number of applicants

X (multiplied by)

AUD

(5)

AUD

=
Total
Total (1) + (2) + (3) + (4) + (5)

AUD

You must pay the total amount or your visa application will not be valid.
Note: A second instalment of the Visa Application Charge must also be
paid before we can grant some visas.

49 How will you pay your application charge?


If applying in Australia, debit card or credit card are the preferred methods of payment. Debit cards cannot be used for applications
lodged by mail. If paying by bank cheque or money order please make payable to the Department of Immigration and Citizenship.
If applying outside Australia, please check with the Australian Government office where you intend to lodge your application as to
what methods of payment and currencies they can accept and to whom the payment should be made payable.
Bank cheque
Money order
Debit card

Cannot be used for applications lodged by mail

Credit card

Give details below

Payment by (tick one box)

Australian Dollars

MasterCard

Diners Club

American Express

JCB

Telephone
number
Address

AUD

Visa
Credit card number
:

MONTH

YEAR

Cardholders name

AREA CODE
) (

NUMBER
)

POSTCODE

Expiry date

COUNTRY CODE

:
Signature of
cardholder
Credit card information will be used for charge paying purposes only.

COMMONWEALTH OF AUSTRALIA, 2013

1419 (Design date 07/13) - Page 15

Part M Application checklist


50 With your completed and signed application form 1419,
you must include:
a valid passport with a certified copy of the identity
page (showing photo and personal details) and other
pages which provide evidence of travel to any other
countries
a recent passport photograph (not more than
6 months old) of yourself
the Visa Application Charge (if applicable)
a completed form 1257 Undertaking declaration, for
applicants under 18 years of age, staying in Australia
with someone other than a parent, legal guardian or
relative (if applicable)
a completed form 1229 Consent to grant an
Australian visa to a child under the age of 18 years,
for applicants under 18 years of age, travelling alone
or without one or both of their parents or legal
guardians (if applicable)
If you authorise another person to receive all written
communications about your application with the
department:
completed Part K Options for receiving written
communications; and
form 956 Advice by a migration agent/exempt person
of providing immigration assistance; or
form 956A Appointment or withdrawal of an
authorised recipient

Additional documents
Under the Migration Act 1958, decision-makers are not obliged to seek
additional information from the applicant before making a decision on a
visa application. It is therefore in the your best interest to submit the
following documentation, if applicable, with your application:
evidence of access to funds to support your stay
evidence of your medical/travel insurance
(if requested)
medical examination or tests (if requested)
a letter from your employer confirming your leave
evidence of enrolment at school, college or university
If visiting a close family member in Australia (who is a
citizen or permanent resident of Australia):
a letter of invitation to visit
other information to show that you have an incentive
and authority to return to your country of residence,
such as property or other significant assets in your
home country
Important: Do not provide original documents unless requested.
You should provide certified copies of original documentation.
Documents not in English should be accompanied by accredited
English translations.

When you have lodged your application, you should


attach your receipt to this sheet.

1419 (Design date 07/13) - Page 16

COMMONWEALTH OF AUSTRALIA, 2013

Part O Additional information

Part N Declaration and consent


WARNING: Giving false or misleading information is a serious offence.

52

Question number

Additional information

51 Having read the Conditions for a Visitor visa to Australia on page 1 of


this form, I declare that:
I understand that the visa I am applying for does not permit me to
work in Australia;
I understand that the visa I am applying for does not permit me to
study for longer than 3 months in Australia;
my intention to visit Australia is genuine and I will abide by the
conditions and period of stay of the visa;
I have access to adequate funds to meet all costs associated with
the visit to and from Australia;
I have never had tuberculosis or any serious condition likely to
endanger or be a cost to Australia (otherwise, I attach details);
I understand that if a no further stay 8503 condition is imposed
on this visa, it will limit my ability to remain in Australia beyond the
authorised period of the visa;
in any part of this form which has been completed with the
assistance of another person, that the information as set down is
true and correct and has been included with my full knowledge,
consent and understanding;
if granted a visa, I will advise the Australian Visa Office should my
circumstances change;
I understand that if I do not abide by the conditions imposed on
my visa, my visa may be cancelled or I may be subject to other
penalties. If applicable, my sponsor may also be penalised;
I have truthfully declared all relevant details requested of me in this
application.
For offshore applicants who are required to provide their fingerprints
and facial image.
I declare that I:
understand that my fingerprints and facial image and my
biographical information held by the Department of Immigration and
Citizenship may be given to Australian law enforcement agencies to
help identify me, to help determine my eligibility for grant of the visa
I have applied for, and for law enforcement purposes.
I consent to:
Australian law enforcement agencies disclosing my biometric,
biographical and criminal record information to the Department of
Immigration and Citizenship for any of the purposes outlined above;
the Department of Immigration and Citizenship using the information
obtained for the purposes of the Migration Act 1958 or the
Citizenship Act 2007.
Signature of
applicant
DAY

MONTH

YEAR

Date

We strongly advise that you keep a copy of your application


and all attachments for your records.

If insufficient space, attach additional details.


COMMONWEALTH OF AUSTRALIA, 2013

1419 (Design date 07/13) - Page 17